Housing Benefit Clam Form And Council Tax Reduction Page 12
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40Page 12
Part 3
About other people who live with you - continued
Second person
Third person
First person
Do they have any
No
No
No
other income at all?
Yes
Yes
Yes
Name of first other
Name of first other
Name of first other
income
income
income
How much is it before
How much is it before
How much is it before
deductions?
deductions?
deductions?
£
£
£
a week
a week
a week
Name of second
Name of second
Name of second
other income
other income
other income
How much is it before
How much is it before
How much is it before
deductions?
deductions?
deductions?
£
£
£
a week
a week
a week
Name of third other
Name of third other
Name of third other
income
income
income
How much is it before
How much is it before
How much is it before
deductions?
deductions?
deductions?
£
£
£
a week
a week
a week
Important! We need to see evidence of other incomes
Do they get any
No
No
No
interest or dividends
Yes
Yes
Yes
from savings or
How much was the
How much was the
investments?
How much was the
last payment or credit?
last payment or credit?
last payment or credit?
£
£
£
How often are payments
How often are payments
How often are payments
or credits made?
or credits made?
or credits made?
Are any of these people
No
partners?
Tell us their names
Yes
Partners can be people of the
opposite sex or the same sex.
And
Name
This includes:
married partners
i
is the partner of
civil partners;
is the partner of
i
people living together as if
i
they were married or civil
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